Ðe ʋumenugbagbeviɣidɔ hã le ŋuwòa? Mina míasrɔ̃ nu tso thyroid dɔlékuiwutike siawo ŋu pɛpɛpɛ!

Ðewohĩ ɖɔkta aɖe bia tso asiwò be nàwɔ thyroid dɔlékuiwutikewo dodokpɔ, alo ɖewohĩ èse eŋu nya le afi aɖe. Nuka tututue nye dodokpɔ sia? Nukatae wòle vevie nenema gbegbe ɖo? Ðewohĩ ànɔ eŋu bum be, "Oo, ɖe nu vevi aɖe le asinyea?" Mègatsi dzi o, míaɖe nusianu me le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu.

Nukae nye Thyroid Antibody Test sia?

Kpuie ko la, ʋudodokpɔe nye esia. Dodokpɔ sia kpena ɖe ame ŋu be nànya nusi na wò thyroid hormone ƒe agbɔsɔsɔ le ɖiɖim alo le dzi yim. Etɔxɛe la, ate ŋu akpɔe ɖa be autoimmune thyroid disease , abe Hashimoto ƒe dɔléle alo Graves ƒe dɔléle ene, le ŋuwò hã.

Nukae nye dɔlékuiwutikewo kple autoantibodies? Ele bɔbɔe ŋutɔ!

Bu eŋu kpɔ, míaƒe ŋutilã ƒe akpa aɖe le abe dedienɔnɔdzikpɔla ene. Emae nye nusi míeyɔna be dɔlékuiwutikewo . Esiawo nye protein ƒomevi aɖe si míaƒe dɔlélenutsiŋutete wɔ. Zi geɖe la, dɔlékuiwutike siawo dzea futɔwo (míeyɔa dɔlékuiwutike siawo ) abe dɔlékuiwo, dɔlékuiwo, kple dɔlékui siwo gena ɖe míaƒe ŋutilã me ene dzi.

Gake ɣeaɖewoɣi la, míaƒe dɔlélenutsiŋutete gblẽna. Emegbe dɔlékuiwutike siawo dzea mía ŋutɔwo ƒe lãmenugbagbevi siwo le lãmesẽ me dzi dzedze gɔme. Autoantibodies nye dɔlékuiwutike siwo wowɔna ɖe mía ŋutɔwo míaƒe ŋutilã ŋu. Autoantibodies siawo ƒe agbɔsɔsɔ sue aɖe koe le ame akpa gãtɔ ƒe ŋutilã me, si nye nusi sɔ. Gake ne wole agbɔsɔsɔ gã me la, efia be ɖewohĩ dɔlélenutsiŋutete ƒe dɔléle aɖe le ŋuwò.

Le lãkusi gome la, ne wò dɔlélenutsiŋutete dze lãkusi ƒe lãmenugbagbeviwo dzi la, lãkusi ƒe dɔlékuiwutike siwo le wò ʋu me dzina ɖe edzi.

Nukawoe nye thyroid dɔlékuiwutike ƒomevi veviwo?

Lãmetsiŋusẽtike ƒomevi vovovowo li. Wo dometɔ vevitɔwoe nye:

• Thyroid Peroxidase Antibodies (TPOAb) alo Anti-microsomal Antibodies: Esiawoe nye dɔlékuiwutike siwo koŋ ɖenɛ fiana be Hashimoto ƒe dɔlélea le ame ŋu.
• Thyroglobulin Dɔlékuiwutikewo (TgAb) .
• Thyroid Stimulating Immunoglobulin (TSI) : Esiawoe nye dɔlékuiwutike siwo koŋ ɖenɛ fiana be Graves ƒe dɔlélea le ame ŋu.
• Lãmetsiŋusẽ si Doa Lãmetsiŋusẽ (TSH) Xɔxɔ ƒe Dɔlékuiwutikewo (TRAb) .: Esia nye dɔlékuiwutike ƒomevi bubu si ate ŋu ado ƒome kple Graves ƒe dɔlélea.

Ŋkɔ bubu geɖe ate ŋu anɔ dɔlékuiwutike siawo dometɔ ɖesiaɖe si siwo ɖi wo nɔewo. Wò ɖɔkta ate ŋu ayɔ wo kple ŋkɔ bubuwo hã. Eyata tɔtɔ aɖewo li ( tɔtɔ /ɖikeke le Tamilgbe me, gake wozãe le afisia le nuƒoƒo me si gɔmee nye tɔtɔ le Sinhalagbe me nuƒoƒo ƒe nya siwo ƒo xlãe me, ke hã, ezãla di be Sinhalagbe dzadzɛ. Eyata matrɔ esia wòazu "Nane li si tɔtɔa ame" alo "Nane li si gɔme sese sesẽ" ) ... Ao, ao, eyata ne nane li si gɔme sese sesẽ, ne mekɔ o la, mègavɔ̃ gbeɖe be yeabia ɖɔkta o.

Ɣekaɣie ɖɔkta aɖe kafui be woawɔ dodokpɔ sia le?

Ne wò TSH (Thyroid-Stimulating Hormone) kple T4 (Thyroxine) lãmetsiŋusẽ dodokpɔ me tsonu mesɔ o la, ɖɔkta ate ŋu abia be woado thyroid dɔlékuiwutike siawo dometɔ ɖeka alo esi wu nenema.

Tsɔ kpe ɖe eŋu la, ɖɔkta ate ŋu akafu dodokpɔ sia le susu bubu geɖe ta:

• Kpɔe ɖa be lãkusi me dɔdzẽ gadze ake hã.
• Lé ŋku ɖe ʋumenugbagbeviɣidɔ ƒe nɔnɔme ŋu le fufɔɣi.

Aleke woawɔ adzra ɖo ɖe thyroid dɔlékuiwutike dodokpɔ ŋu?

Zi geɖe la, dzadzraɖo tɔxɛ aɖeke mehiã na thyroid dɔlékuiwutike dodokpɔ sia o. Àte ŋu aɖu nu ahano nu le mɔ si sɔ nu negbe ɖe wò ɖɔkta ɖo aɖaŋu bubui hafi.

Gake ne èle atike bubu aɖe si me biotin le zãm la, kpɔ egbɔ be yebia wò ɖɔkta ɣeyiɣi didi kae wòle be nàdzudzɔ wo nono hafi dodokpɔa nadze egɔme, elabena biotin nono ate ŋu akpɔ ŋusẽ ɖe dodokpɔ siawo me tsonu dzi.

Esia nye ʋudodokpɔ bɔbɔe ŋutɔ. Àte ŋu ana woawɔe le ŋkekea ƒe ɣeyiɣi ɖesiaɖe me le dodokpɔxɔ aɖe me. Ame si xɔa ʋua (phlebotomist) azã aŋe sue aɖe atsɔ aɖe ʋu sue aɖe tso ʋuka aɖe si le wò alɔnu me. Emae nye ema.

Aleke míase dodokpɔa ƒe nyatakakaa me tsonu gɔmee?

Zi geɖe la, ʋudodokpɔ ŋuti nyatakakawo, kpakple thyroid dɔlékuiwutikewo dodokpɔ ŋuti nyatakakawo, lɔ esiawo ɖe eme:

• Ʋudodokpɔa ƒe ŋkɔ, alo nusi wodzidze le wò ʋu me.
• Wò ʋudodokpɔ me tsonu ƒe xexlẽme alo dzidzenu.
• Dzidzenu si sɔ na dodokpɔ ma.
• Nyatakaka siwo ku ɖe nenye be wò emetsonua nye "Negative" alo "Positive", alo kɔkɔ alo sue.

Zi geɖe la, wogblɔa thyroid Antibody dodokpɔ me tsonu be "Negative" alo "Positive. " "Negative" dodokpɔ me tsonu fia be antibody ƒe agbɔsɔsɔ le agbɔsɔsɔ si sɔ me. "Positive" ƒe emetsonu fia be dɔlékuiwutike ƒe agbɔsɔsɔ wu alesi wòle be wòanɔ.

Nukae nye thyroid dɔlékuiwutikewo ƒe didime si sɔ?

Le goawo katã me la, agbɔsɔsɔme si sɔ na thyroid dɔlékuiwutikewoe nye esiawo:

• Thyroid Peroxidase Antibody (TPOAb) : < 5.6 IU/ml (Dukɔwo Dome Nusɔsrɔ̃wo le mililita ɖeka me) .
• Thyroglobulin Dɔlékuiwutikewo (TgAb) : < 4 IU/ml
• Thyroid-stimulating hormone receptor antibodies (TRAb) : < 1.75 IU/L (Dukɔwo Dome Dɔwɔƒewo le lita ɖeka me) alo < 3.3 IU/L, le dodokpɔ ƒomevi si wowɔ nu
• Dɔlélenutsiŋutete si doa ŋusẽ ʋumenugbagbeviɣidɔ (TSI) : < 0.55 IU/ml

Nu vevitɔe nye be ne èxɔ nyatakakaa la, agblɔ nusi nye didime si sɔ na dodokpɔxɔ ma. Nusiwo sɔ ƒe didime siawo ate ŋu ato vovo tso dodokpɔxɔ ɖeka me yi bubu gbɔ. Eyata mègatsɔ asixɔxɔ si tso dodokpɔxɔ ɖeka me sɔ kple dodokpɔxɔ bubu ƒe didime si sɔ o. Ne nya aɖe le asiwò ku ɖe wò dɔwɔwɔ me tsonu ŋu la, kpɔ egbɔ be yebia wò ɖɔkta.

Nukae wòfia ne wò nyatakakaa ɖe thyroid dɔlékuiwutikewo fia?

Zi geɖe la, ne ènye "positive" na thyroid antibodies la, efia be autoimmune thyroid nɔnɔme aɖe le ŋuwò. Gake menye nenemae wònɔna ɣesiaɣi o. Ame aɖewo ateŋu anye "positive" le antibodies gake thyroid dɔléle mele wo ŋu o.

Àte ŋu anye "positive" na thyroid antibody ƒomevi siwo wu ɖeka. Nusi dɔlékuiwutike siawo ƒe agbɔsɔsɔ si dzi ɖe edzi fia la toa vovo le dɔlékuiwutike ƒomevi si wozãna nu. Na míakpɔ alesi ema wɔa dɔe ɖa.

Ke ne dɔlékuiwutike siwo nye thyroid peroxidase (TPO) le ŋunye ya ɖe?

Ne ènye "positive" (si fia be agbɔsɔsɔ gã aɖe le ŋuwò) na TPO dɔlékuiwutikewo la, ate ŋu afia nusiwo gbɔna:

• Ne wò TSH ƒe agbɔsɔsɔ hã sɔ gbɔ la , ke ate ŋu adzɔ be Hashimoto ƒe dɔlélea le ŋuwò .
• Ne wò TSH ƒe agbɔsɔsɔme sɔ fifia alo wògogo alesi wòle be wòanɔ , àte ŋu axɔ ʋumenugbagbeviɣidɔ (thyroid hormone si mebɔ o) le etsɔme.

Gake ne wò TPO dɔlékuiwutikewo nye "negative" gake wò TSH ƒe agbɔsɔsɔ sɔ gbɔ la, efia be ate ŋu anye be nu bubu aɖe ate ŋu ahe wò hypothyroidism vɛ.

Ke ne thyroglobulin antibodies (TgAb) le ŋunye ɖe?

Ne wò thyroglobulin antibodies (TgAb) nye "positive" la, ate ŋu afia be Hashimoto ƒe dɔlélea le ŋuwò.

Nu bubue nye be wowɔ dɔ na wò le thyroid cancer ta eye wowɔ radioactive iodine dɔ na wò.Ne èxɔe kpɔ la, wò ɖɔkta ate ŋu abia be woado TgAb kpɔ. Esia le alea elabena menyo be thyroglobulin nanɔ wò ʋu me le atikewɔwɔ sia megbe o. Eyata, ne TgAb le ŋuwò – vevietɔ ne eƒe agbɔsɔsɔ le dzidzim ɖe edzi vivivi la – ateŋu anye dzesi be kansa la gatrɔ gbɔ (egadzɔ ake).

Ke ne lãmetsiŋusẽ si doa ŋusẽ ʋumenugbagbeviɣidɔ (TRAb) le ŋunye ya ɖe?

Ne wò TRAb "nyo" eye wò TSH ƒe agbɔsɔsɔ le sue la, anɔ eme godoo be efia be Graves ƒe dɔléle le ŋuwò . Ame siwo ŋu Graves ƒe dɔlélea le ƒe 95% lɔƒo ƒe TRAb ƒe agbɔsɔsɔ dzi ɖe edzi.

Ƒã ŋutɔ la, ɖewohĩ Graves ƒe dɔlélea gakpɔtɔ le ŋuwò ne wò TRAb nye "negative" gɔ̃ hã. Ne nenemae la, thyroid scan ate ŋu ade dzesii.

Ke ne dɔlélenutsiŋutete si doa ŋusẽ ʋumenugbagbeviɣidɔ (TSI) le ŋunye ya ɖe?

TSI nye TRAb ƒomevi aɖe koŋ. Ne ènye "positive" le TSI ŋu la, anɔ eme be efia be Graves ƒe dɔléle le ŋuwò.

Ne emetsonuwo mesɔ o la, nukae nàwɔ kplɔe ɖo?

Ne wò thyroid antibody dodokpɔ me tsonu mesɔ o la, mègatsi dzi o. Wò ɖɔkta agblɔ nusi nàwɔ emegbe na wò, si me alesi nàyi edzi alé ŋku ɖe wò lãkusi ŋu kple nenye be ehiã be woawɔ atike na wò hã le.

Hashimoto ƒe dɔlélea dada vevitɔe nye atikekui si nènona gbesiagbe le wò agbemeŋkekewo katã me ne wò dodokpɔxɔ ƒe nyatakakawo ɖee fia be ʋumenugbagbeviɣidɔ le ŋuwò. Graves ƒe dɔlélea ƒe atike vovovowo li, siwo dometɔ aɖewoe nye atikekuiwo kple dɔdamɔnu aɖewo.

Enye dzɔdzɔme nu be nàtsi dzimaɖi ahatsi dzimaɖi ne èkpɔ emetsonu si mebɔ o le dodokpɔxɔ ƒe nyatakaka aɖe me. Eye ɖewohĩ àdi be yeanya nusitae wòdzɔ ɖo kaba ale si nàte ŋui. Gake ɖo ŋku edzi be wò ɖɔkta aɖe emetsonu siawo me na wò godoo eye ne ehiã la, adzro atikewɔmɔnu siwo nàzã me. Ne nya aɖe le asiwò ku ɖe wò dɔwɔwɔ me tsonu ŋu la, mègahe ɖe megbe le wò ɖɔkta biabia me o.

Gbedasi si Wotsɔ Yi Aƒeme

Enyo, eyata mina makpe ɖe ŋuwò nàɖo ŋku nu vevitɔ kekeake siwo ŋu míeƒo nu tsoe la dometɔ aɖewo dzi:

• Thyroid Antibody Tests ate ŋu ade dzesii nenye be míaƒe dɔlélenutsiŋutete le mía ŋutɔwo ƒe thyroid gland dzi dzem. Woyɔa esia be Autoimmune Thyroid Diseases.
• Dɔlékuiwutike vovovowo (abe TPOAb, TgAb, TRAb, TSI) naa kpeɖodziwo tso lãkusidɔ vovovowo ŋu (abe Hashimoto, Graves tɔ ene).
• Dodokpɔ "positive" mefia ɣesiaɣi be dɔléle sesẽ aɖe le ŋuwò o. Ɣeaɖewoɣi la, dɔlékuiwutikewo ate ŋu anɔ ŋuwò dzesi aɖeke manɔmee.
• Mègaŋlɔ be be yeagblɔ wò biotin zazã na wò ɖɔkta hafi awɔ dodokpɔa o.
• Nukae le dodokpɔxɔa ƒe nyatakakaa me?Nusiwo sɔ ate ŋu ato vovo tso dodokpɔxɔ ɖeka me yi bubu gbɔ.
• Nu vevitɔe nye be nàƒo nu tso wò dɔwɔwɔ me tsonu ŋu na wò ɖɔkta gaglãa. Woawoe nye amesiwo ate ŋu aɖo aɖaŋu si de pɛpɛpɛ wu wò.

Mele mɔ kpɔm be nyatakaka sia aɖe vi na wò. Nɔ lãmesẽ me!

` Lãmetsiŋusẽtikewo, lãkusi dodokpɔwo, Hashimoto ƒe dɔléle, Graves ƒe dɔléle, autoimmune, TPOAb, TgAb, TSI, TRAb, lãkusi me lãmetsiwo